The Impact of Education, Based on the BASNEF Model, on Maternal Attitudes toward Child Abuse in Shahrekord Health Centers, 2012

Background As childhood is considered to be the infrastructure for growth and progress, experiencing misconduct may leave behind a heritage of imbalance and unrest which may be manifested in any situation in some form of mental disorder (neurotic attack). This problem leads to physical and mental disorder in children and inflicts heavy social and economic damages to the society. This research aims at evaluating the impact of education, based on BASNEF model, on maternal attitude towards child abuse. Methods The current research is based on an interventional study on 95 mothers referred to the Shahrekord health center. They were randomly selected and divided into two groups of test and control, and education was conducted in four sessions based on structures of BASNEF model. Finally their obtained information was analyzed using paired t-test, independent t-test, Mann-Whitney and Chi-square statistical tests. Results The mean score in beliefs was 77.73±7.27, attitudes 87.01±8.1, subjective norms 85.55±8.4 and enabling factors 82.77±10.64 in the test group. There was a significant difference in the average marks of the structures of the BASNEF model (beliefs, attitudes, subjective norms, and enabling factors) between the control and intervention groups after the training process Conclusion Model-based training has a positive effect on improving attitudes; therefore, instead of traditional methods, applying a planned training program is suggested so that its effects can be reliable

Efficacy of fentanyl transdermal patch in the treatment of chronic soft tissue cancer pain

Background: Cancer pain may be a major problem for health care providers worldwide. According to different studies reporting the pain severity, one-third of patients reported to have moderate to severe pain. Management of cancer pain is one of the most important goals of palliative care. Recently, different research results on the efficacy of opioid analgesics in chronic pain management have played a role to implement standards in pain control by government agencies worldwide. Objectives: This study aimed to investigate the efficacy of fentanyl transdermal patch in the treatment of chronic soft tissue cancer pain. Patients and Methods: In a prospective descriptive study, we evaluated 86 patients with soft tissue tumors with chronic pain referred to cancer institute of Imam Khomeini Hospital, Tehran, Iran, during 2006-2007. For all patients, transdermal fentanyl patch (25 μg/h) was administered. The appearance of patches was the same. Pain severity was measured by Visual Analogue Scale (VAS) initially and 24, 48 and 72 hours after the initiation of treatment. Results: Patients' characteristics and VAS score before the treatment were not significantly different (P > 0.05). According to our findings, the pain severity was significantly reduced after the treatment (P = 0.001). The incidence of adverse events in patients was significantly high (72). The most common adverse events were sleepiness, nausea and vomiting in 30.2 and 18.6, respectively. Conclusions: Transdermal fentanyl patch was an effective and safe method to reduce pain in patients with soft tissue tumors. Moreover, it could improve the quality of life in these patients, but adverse events occurred in approximately 72 of patients. © 2015, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM)

The Effect of Dust Storm on the Microbial Quality of Ambient Air in Sanandaj: A City Located in the West of Iran.

BACKGROUND & AIMS: The presence of pathogenic microorganisms in the dust storm can cause diseases such as Asthma, Pneumonia, and respiratory infections. The aim of this study was to determine the relationship between air-borne particles with airborne microorganisms in normal and dusty days in Sanandaj, a city located in the west of Iran. MATERIALS & METHODS: Air sampling was conducted during the normal and dusty days through Andersen single-stage impactor (28.3 L/min) for 2.5 min. Air particles concentration (PM10) was measured daily and microbial sampling was also conducted on every six days and on the dusty days. Finally, the data was analyzed by SPSS-16 (ANOVA and paired T-tests). RESULTS: The concentration of airborne microorganisms (bacteria and fungi) was increased by an increase of the airborne particles. Particles concentration in May, June and July (twice per month) was more than of the standard value. The predominant species of bacteria and fungi during the occurrence of Dust storm was Bacillus spp. (56.2% of total bacteria) and Mycosporium spp. (28.6% of total fungi), respectively. DISCUSSION AND CONCLUSION: The results showed that the number of airborne microorganisms (bacteria and fungi) increased during the dust storm. Therefore, the microorganisms in the dust storm can cause biological harmful effects on human health

Melatonin in the treatment of fibromyalgia symptoms: A systematic review

The available pharmacological modalities for the treatment of fibromyalgia (FM) are associated with a variety of adverse effects and limited benefits. In this study, we systematically reviewed the impact of melatonin in the treatment of FM. Interventional studies, either controlled or uncontrolled and randomized or non-randomized, were included. PubMed, EMBASE, Scopus, Web of Science, and the Cochrane Library were searched without time limitation. Primary outcome measures were the effect of melatonin on the disease impact, pain, sleep quality, tender point count, fatigue, anxiety, stiffness, and depression in FM patients. Four studies, reporting the effect of melatonin on 98 patients, were eligible to include. All the studies reported the positive effect of melatonin on the FM symptoms. No major adverse event was reported. A significant level of heterogeneity was observed between the studies. Therefore, further high-quality controlled clinical trials are needed to understand the role of melatonin in FM treatment fully. © 2019 Elsevier Lt

Design of experiments to study the impact of process parameters on droplet size and development of non-invasive imaging techniques in tablet coating

Atomisation of an aqueous solution for tablet film coating is a complex process with multiple factors determining droplet formation and properties. The importance of droplet size for an efficient process and a high quality final product has been noted in the literature, with smaller droplets reported to produce smoother, more homogenous coatings whilst simultaneously avoiding the risk of damage through over-wetting of the tablet core. In this work the effect of droplet size on tablet film coat characteristics was investigated using X-ray microcomputed tomography (XμCT) and confocal laser scanning microscopy (CLSM). A quality by design approach utilising design of experiments (DOE) was used to optimise the conditions necessary for production of droplets at a small (20 μm) and large (70 μm) droplet size. Droplet size distribution was measured using real-time laser diffraction and the volume median diameter taken as a response. DOE yielded information on the relationship three critical process parameters: pump rate, atomisation pressure and coating-polymer concentration, had upon droplet size. The model generated was robust, scoring highly for model fit (R2 = 0.977), predictability (Q2 = 0.837), validity and reproducibility. Modelling confirmed that all parameters had either a linear or quadratic effect on droplet size and revealed an interaction between pump rate and atomisation pressure. Fluidised bed coating of tablet cores was performed with either small or large droplets followed by CLSM and XμCT imaging. Addition of commonly used contrast materials to the coating solution improved visualisation of the coating by XμCT, showing the coat as a discrete section of the overall tablet. Imaging provided qualitative and quantitative evidence revealing that smaller droplets formed thinner, more uniform and less porous film coats

Saliva Proteins of Vector Culicoides Modify Structure and Infectivity of Bluetongue Virus Particles

Bluetongue virus (BTV) and epizootic haemorrhagic disease virus (EHDV) are related orbiviruses, transmitted between their ruminant hosts primarily by certain haematophagous midge vectors (Culicoides spp.). The larger of the BTV outer-capsid proteins, ‘VP2’, can be cleaved by proteases (including trypsin or chymotrypsin), forming infectious subviral particles (ISVP) which have enhanced infectivity for adult Culicoides, or KC cells (a cell-line derived from C. sonorensis). We demonstrate that VP2 present on purified virus particles from 3 different BTV strains can also be cleaved by treatment with saliva from adult Culicoides. The saliva proteins from C. sonorensis (a competent BTV vector), cleaved BTV-VP2 more efficiently than those from C. nubeculosus (a less competent / non-vector species). Electrophoresis and mass spectrometry identified a trypsin-like protease in C. sonorensis saliva, which was significantly reduced or absent from C. nubeculosus saliva. Incubating purified BTV-1 with C. sonorensis saliva proteins also increased their infectivity for KC cells ∼10 fold, while infectivity for BHK cells was reduced by 2–6 fold. Treatment of an ‘eastern’ strain of EHDV-2 with saliva proteins of either C. sonorensis or C. nubeculosus cleaved VP2, but a ‘western’ strain of EHDV-2 remained unmodified. These results indicate that temperature, strain of virus and protein composition of Culicoides saliva (particularly its protease content which is dependent upon vector species), can all play a significant role in the efficiency of VP2 cleavage, influencing virus infectivity. Saliva of several other arthropod species has previously been shown to increase transmission, infectivity and virulence of certain arboviruses, by modulating and/or suppressing the mammalian immune response. The findings presented here, however, demonstrate a novel mechanism by which proteases in Culicoides saliva can also directly modify the orbivirus particle structure, leading to increased infectivity specifically for Culicoides cells and, in turn, efficiency of transmission to the insect vector

Protection of Spanish Ibex (Capra pyrenaica) against Bluetongue Virus Serotypes 1 and 8 in a Subclinical Experimental Infection

Many wild ruminants such as Spanish ibex (Capra pyrenaica) are susceptible to Bluetongue virus (BTV) infection, which causes disease mainly in domestic sheep and cattle. Outbreaks involving either BTV serotypes 1 (BTV-1) and 8 (BTV-8) are currently challenging Europe. Inclusion of wildlife vaccination among BTV control measures should be considered in certain species. In the present study, four out of fifteen seronegative Spanish ibexes were immunized with a single dose of inactivated vaccine against BTV-1, four against BTV-8 and seven ibexes were non vaccinated controls. Seven ibexes (four vaccinated and three controls) were inoculated with each BTV serotype. Antibody and IFN-gamma responses were evaluated until 28 days after inoculation (dpi). The vaccinated ibexes showed significant (P<0.05) neutralizing antibody levels after vaccination compared to non vaccinated ibexes. The non vaccinated ibexes remained seronegative until challenge and showed neutralizing antibodies from 7 dpi. BTV RNA was detected in the blood of non vaccinated ibexes from 2 to the end of the study (28 dpi) and in target tissue samples obtained at necropsy (8 and 28 dpi). BTV-1 was successfully isolated on cell culture from blood and target tissues of non vaccinated ibexes. Clinical signs were unapparent and no gross lesions were found at necropsy. Our results show for the first time that Spanish ibex is susceptible and asymptomatic to BTV infection and also that a single dose of vaccine prevents viraemia against BTV-1 and BTV-8 replication

Removal of Trichloroethylene by Clay Modified with Cationic Surfactant in Aqueous Solutions: Equilibrium, Kinetic, and Thermodynamic Study

Trichloroethylene (TCE) is commonly found in ground water, and it may serve as a major source of many types of cancers such as kidney, liver, lymphatic glands, and spinal cord. In the present research, TCE uptake from aqueous media by montmorillonite (Mt) modified by tetradecyl trimethyl ammonium bromide (TTAB) surfactant was explored. Firstly, the characteristics of raw and modified montmorillonite (raw-Mt and TTAB-Mt) were analyzed by SEM, FTIR, XRD, and XRF instruments. Then, the sorption process was evaluated as a function of different factors such as surfactant loading rate, pH, ionic strength, contact time, sorbent dosage, TCE concentration, temperature, and regeneration agent. The maximum TCE sorption by the modified clay was obtained at surfactant loading rate of 120 cation exchange capacity of the clay. The maximum removal efficiency of TCE by the modified clay was 99.6 at pH 5 and 30 min contact time. The findings also exhibited that the isotherm and kinetic sorption followed the Freundlich and pseudo-second-order models, respectively. It can be concluded that TTAB-Mt, as a cheap, abundant, non-toxic, and environmental friendly adsorbent can be considered to remove TCE in aqueous phase